Dedriana Michelle Lomax

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A194321 Issued in CA

Practice address

1001 Potrero Ave BLDG 80
San Francisco, CA 94110-3518

Phone

(628) 206-5252

NPI assigned

Apr 8, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Howard University College of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marin City Health and Wellness CenterGroup PAC ID 1052451259, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Zuckerberg San Francisco General Hosp & Trauma Ctr Hospital, San Francisco, CA, CCN 050228
• Marinhealth Medical Center Hospital, Greenbrae, CA, CCN 050360

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marin City Health and Wellness Center

  dba Perinatal and Women's Health Suite

  • Federally Qualified Health Center (FQHC)
  • Sausalito, CA
  • NPI 1285804948
  Medicare reassignment Care Compare group NPD
• City & County of San Francisco

  dba San Francisco Public Health Laboratory

  • Clinical Medical Laboratory
  • San Francisco, CA
  • NPI 1982737524
  NPD
• Marin City Health and Wellness Center

  • Federally Qualified Health Center (FQHC)
  • San Rafael, CA
  • NPI 1457888299
  NPD
• Marin City Health and Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Sausalito, CA
  • NPI 1902681489
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• City & County of San Francisco

  dba Zuckerberg San Francisco General Hospital and Trauma Center- Acute

  • General Acute Care Hospital
  • San Francisco, CA
  • NPI 1083648810
  Care Compare affiliation
• City & County of San Francisco

  dba Zuckerberg San Francisco General Hospital and Trauma Center - Acute

  • General Acute Care Hospital
  • San Francisco, CA
  • NPI 1164609962
  Care Compare affiliation
• Marin General Hospital

  • General Acute Care Hospital
  • Greenbrae, CA
  • NPI 1396725677
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1548840101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE BLDG 80",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "628-206-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE BLDG 80",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "628-206-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMAX",
        "first_name": "DEDRIANA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-08",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A194321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minerva Loi, DDS, MD
• Eliza Loke
• Siri E. Loken, MD
• Ryan Peter Lokken, M.D., M.P.H.
• Loma Therapy PLLC
• Gary L Lomax, M.S.W.
• Darien Rae Lomeli
• Mercedez Lomeli
• Julie London, PHD
• Martin J. London, MD

• Family Medicine Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.